Should We Abandon Hydrophilic Intraocular Lenses?

Grzybowski, Andrzej; Žemaitienė, Reda; Markeviciute, Agne; Tuuminen, Raimo

doi:10.1016/j.ajo.2021.11.021

Cited by 12 publications

(11 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Opacification of hydrophilic IOLs is a well-known complication of hydrophilic IOLs 9,11,12 which are less commonly used nowadays than hydrophobic IOLs due to the higher risk of posterior capsular opacification. 10,13 Nevertheless, only one case has described FIL SSF IOL opacification after DSAEK with multiple air tamponades. 5 To the best of our knowledge, this is the first report of FIL SSF IOL opacification after gas tamponade for pars plana vitrectomy with C2F6 tamponade or DMEK.…”

Section: Discussionmentioning

confidence: 99%

“…3 Moreover, one case of FIL SSF IOL permanent opacification secondary to calcification after Descemet stripping automated endothelial keratoplasty (DSAEK) with multiple re-bubbling with air has been described previously 5 as well as one case after pars plana vitrectomy with gas tamponnade. 6 While opacification of hydrophilic lens due to calcification is a wellknown adverse effect in case of gas or air tamponade after anterior and posterior segment procedure, [7][8][9][10] postoperative FIL SSF IOL opacification under the same conditions has never been reported.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

FIL SSF intraocular lens opacification after gas tamponade: A case series

Sejournet,

Elbany,

Serrar

et al. 2024

European Journal of Ophthalmology

View full text Add to dashboard Cite

Purpose To report three cases of postoperative opacification of sutureless scleral-fixed hydrophilic intraocular lens (FIL SSF IOL, Soleko, Italy) after gas tamponade. Two cases occurred after pars plana vitrectomy and one case after Descemet membrane endothelial keratoplasty. Case report Two diabetic patients underwent a FIL SSF IOL implantation after posterior capsular rupture during cataract surgery. Rhegmatogenous retinal detachment (RRD) was observed in one patient during the initial surgery. A second patient developed a RRD five months after surgery. Both RRDs were treated with pars plana vitrectomy and perfluoroethane (C2F6) gas tamponade. A few days after the surgery, C2F6 was observed in the anterior chamber of both patients. Two months after gas tamponade, opacification of the anterior surface of the IOL was observed. The third patient was a 74-year-old woman, who underwent a combined Descemet membrane endothelial keratoplasty (DMEK) and FIL SSF IOL implantation. Two rebubblings with sulfur hexafluoride (SF6) retreatments were required due to corneal graft detachment. One month later, an opacification of the anterior surface of the IOL was observed. Explantation with implantation of iris-claw IOL was decided, which resulted in an improvement of BVCA. Analysis of the IOL showed a positive Von Kossa staining, indicating calcification of the IOL. We performed a review of all the cases of FIL SSF IOL implantation in our centers. The overall rate of FIL SSF IOL opacification was 2.1% (3/140). Amongst patients treated with gas tamponade, the rate of opacification was 27.3% (3/11). Although FIL SSF IOL implantation appears to be an effective option for the treatment of aphakia, caution should be exercised regarding the risk of opacification following gas tamponade, especially since these patients are at risk of retinal detachment.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

FIL SSF intraocular lens opacification after gas tamponade: A case series

Sejournet,

Elbany,

Serrar

et al. 2024

European Journal of Ophthalmology

View full text Add to dashboard Cite

show abstract

“…In the ACP and non-ACP groups, we found that diffractive MIOLs (AT LISA tri 839MP) produced a higher incidence of PCO than segmental refractive MIOLs (SBL-3). It has previously been found that hydrophobic IOLs could reduce the incidence of PCO compared with hydrophilic IOLs (19). Both optics are hydrophilic materials, but the surface of AT LISA tri MIOL is coated with hydrophobic materials, which should theoretically result in better PCO inhibition performance.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Anterior Capsule Polishing on the Rate of Neodymium: YAG Laser Capsulotomy After Two Multifocal Intraocular Lens Implantation

Lin

Bai

et al. 2022

Front. Med.

View full text Add to dashboard Cite

PurposeTo compare the impact of anterior capsule polishing (ACP) during cataract surgery on the rate of neodymium: YAG (Nd: YAG) laser capsulotomy in pseudophakic eyes with two multifocal intraocular lenses (MIOLs).MethodsData were collected on patients who underwent cataract surgery and implanted segmental refractive MIOLs (SBL-3, Lenstec) or diffracted MIOLs (AT LISA tri 839MP, Carl Zeiss Meditec). The participants were divided into ACP and non-ACP groups based on whether the anterior capsule was polished. The primary outcome measure was whether Nd: YAG capsulotomy was performed during the 3 years follow-up. We used Kaplan–Meier survival curves to determine the time from IOL implantation to Nd: YAG laser capsulotomy.ResultsACP and non-ACP groups comprised 70 and 60 eyes, respectively. One year postoperatively, 7.14% of ACP group eyes and 8.33% of non-ACP group required Nd: YAG laser capsulotomy (P > 0.99). After 2 years, it was 24.29 and 18.33%, respectively (P = 0.52), while after 3 years, it reached 30.0 and 28.33% (P = 0.85). No distinct difference existed in the probability of using Nd: YAG laser in both groups evaluated using Kaplan-Meier survival curves (P = 0.81). Patients with diffractive MIOLs (AT LISA tri 839MP) implantation were more likely to require Nd: YAG laser capsulotomy (P < 0.01).ConclusionPolishing the anterior capsule had no remarkable effect on reducing the rate of Nd: YAG laser capsulotomy following phacoemulsification in MIOLs. Patients with diffractive MIOLs implantation had a high probability of requiring Nd: YAG laser capsulotomy.

show abstract

“…They are mainly related to the growth of LECs. In addition, the residual LECs on the capsular bag may grow to the surface of the IOL and lead to calcification ( Grzybowski et al, 2021 ).…”

Section: Intraocular Lens Surface Modification Materialsmentioning

confidence: 99%

Recent Advances of Intraocular Lens Materials and Surface Modification in Cataract Surgery

Luo

Wang

Chen

et al. 2022

Front. Bioeng. Biotechnol.

View full text Add to dashboard Cite

Advances in cataract surgery have increased the demand for intraocular lens (IOL) materials. At present, the progress of IOL materials mainly contains further improving biocompatibility, providing better visual quality and adjustable ability, reducing surgical incision, as well as dealing with complications such as posterior capsular opacification (PCO) and ophthalmitis. The purpose of this review is to describe the research progress of relevant IOL materials classified according to different clinical purposes. The innovation of IOL materials is often based on the common IOL materials on the market, such as silicon and acrylate. Special properties and functions are obtained by adding extra polymers or surface modification. Most of these studies have not yet been commercialized, which requires a large number of clinical trials. But they provide valuable thoughts for the optimization of the IOL function.

show abstract

Should We Abandon Hydrophilic Intraocular Lenses?

Cited by 12 publications

References 46 publications

FIL SSF intraocular lens opacification after gas tamponade: A case series

FIL SSF intraocular lens opacification after gas tamponade: A case series

Comparison of Anterior Capsule Polishing on the Rate of Neodymium: YAG Laser Capsulotomy After Two Multifocal Intraocular Lens Implantation

Recent Advances of Intraocular Lens Materials and Surface Modification in Cataract Surgery

Contact Info

Product

Resources

About